Mindray DPM 4 User manual

Category
Blood pressure units
Type
User manual
DPM 4 Patient Monitor
Service Manual
I
Copyright
© 2008-2015 Mindray DS USA, Inc. All rights reserved.
For this Service Manual, the issued date is March 2015 (Version: 5.0).
Intellectual Property Statement
Mindray DS USA, Inc. (hereinafter called Mindray DS) owns the intellectual property rights to
this product and this manual. This manual may refer to information protected by copyrights or
patents and does not convey any license under the copyright and patent rights of Mindray DS,
nor the rights of others.
Mindray DS intends to maintain the contents of this manual as confidential information.
Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray DS is strictly forbidden. Release, amendment, reproduction, distribution,
rental, adaptation and translation of this manual in any manner whatsoever without the written
permission of Mindray DS is strictly forbidden.
is a trademark or a registered trademark of Shenzhen Mindray
Bio-Medical Electronics Co., Ltd. All third-party trademarks that appear in this manual are used
solely for editorial purposes and are the property of their respective owners.
Contents of this manual are subject to changes without prior notice.
II
Responsibility on the Manufacturer Party
All information contained in this manual is believed to be correct. Shenzhen Mindray
Bio-Medical Electronics Co., Ltd.. shall not be liable for errors contained herein nor for
incidental or consequential damages in connection with the furnishing or use of this manual.
The manufacturer will not be liable for the effects on safety, reliability and performance of this
product if:
any installation operations, expansions, changes, modifications and repairs of this product
are not conducted by Mindray authorized personnel; and
the electrical installation of the relevant room does not comply with the applicable national
and local requirements; and
the product is not used in accordance with the instructions for use.
Upon request, Mindray may provide, with compensation, necessary circuit diagrams, calibration
illustration list and other information to help qualified technician to maintain and repair some
parts, which Mindray may define as user serviceable.
NOTE
This equipment must be operated by skilled/trained medical professionals.
WARNING
For continued safe use of this equipment, it is necessary that the listed instructions are
followed. However, instructions listed in this manual in no way supersede established
medical practices concerning patient care
Do not rely only on audible alarm system to monitor patient. When monitoring
adjusting the volume to very low or completely muting the sound may result in
the disaster to the patient. The most reliable way of monitoring the patient is at
the same time of using monitoring equipment correctly, manual monitoring
should be carried out.
This multi-parameter patient monitor is intended for use only by medical
professionals in health care institutions.
To avoid electrical shock, you shall not open any cover by yourself. Service must
be carried out by qualified personnel.
III
Use of this device may affect ultrasonic imaging system in the presence of the
interfering signal on the screen of ultrasonic imaging system. Keep the distance
between the monitor and the ultrasonic imaging system as far as possible.
It is dangerous to expose electrical contact or applicant coupler to normal saline,
other liquid or conductive adhesive. Electrical contact and coupler such as cable
connector, power supply and parameter module socket-inlet and frame must be
kept clean and dry. Once being polluted by liquid, they must be thoroughly
dried. If to further remove the pollution, please contact your biomedical
department or Mindray DS.
It is important for the hospital or organization that employs this equipment to carry out a
reasonable maintenance schedule. Neglect of this may result in machine breakdown or injury of
human health.
Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES,
EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR ANY PARTICULAR PURPOSE.
IV
Exemptions
Mindray 's obligation or liability under this warranty does not include any transportation or other
charges or liability for direct, indirect or consequential damages or delay resulting from the
improper use or application of the product or the use of parts or accessories not approved by
Mindray or repairs by people other than Mindray authorized personnel.
This warranty shall not extend to:
any Mindray product which has been subjected to misuse, negligence or accident;
any Mindray product from which Mindray 's original serial number tag or product
identification markings have been altered or removed;
any product of any other manufacturer.
Safety, Reliability and Performance
Mindray is not responsible for the effects on safety, reliability and performance of DPM4 patient
monitor if:
Assembly operations, extensions, re-adjusts, modifications or repairs are carried out by
persons other than those authorized by Mindray.
Personnel unauthorized by Mindray repairs or modifies the instrument.
V
Return Policy
Return Procedure
In the event that it becomes necessary to return this product or part of this product to Mindray
DS, the following procedure should be followed:
1. Return authorization: Contact the Customer Service Department and obtain a Customer
Service Authorization number. This number must appear on the outside of the shipping
container. Returned shipments will not be accepted if the number is not clearly visible.
Please provide the model number, serial number, and a brief description of the reason for
return.
2. Freight policy: The customer is responsible for freight charges when this product is shipped
to Mindray DS for service (this includes customs charges).
3. Return address: Please send the part(s) or equipment to the address offered by the Customer
Service department
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building, Keji 12th Road South,Hi-tech industrial park,
Nanshan, Shenzhen 518057,P.R.China
Website: www. mindray.com
E-mail Address service@mindray.com.cn
Tel: +86 755 81888998
Fax: +86 755 26582680
Distributor: Mindray DS USA, Inc.
Address: 800 MacArthur Boulevard, Mahwah, New Jersey 07430 USA
Tel: 1.800.288.2121, 1.201.995.8000
Website: www.mindray.com
VI
Safety Precautions
1. Meaning of Signal Words
In this service manual, the signal words
WARNING, CAUTION and NOTE are used to
indicate safety and other important instructions The signal words and their meanings are defined
as follows.
Signal word Meaning
WARNING
Indicates a potentially hazardous situation which, if not avoided, could
result in death or serious injury.
CAUTION
Indicates a potentially hazardous situation which, if not avoided, may
result in minor or moderate injury.
NOTE
Indicates a potentially hazardous situation which, if not avoided, may
result in property damage.
2. Meaning of Safety Symbols
Symbol Description
Type-BF applied part
"Attention" (Refer to the operation manual.)
Safety Precautions
Please observe the following precautions to ensure patient and operator safety when using this
system.
WARNING
Do not connect this system to outlets with the same circuit breakers and fuses
that control current to devices such as life-support systems. If this system
malfunctions and generates an overcurrent, or when there is an instantaneous
current at power ON, the circuit breakers and fuses of the building’s supply
circuit may be tripped.
Do not use flammable gasses such as anesthetics, or flammable liquids such as
ethanol, near this product, because there is danger of explosion.
VII
CAUTION
1. Malfunctions due to radio waves
Use of radio-wave-emitting devices near the monitor may interfere with its
operation. Do not bring or use devices which generate radio waves, such as
cellular telephones, transceivers, and radio controlled toys, in the room where
the system is installed.
If a user brings a device which generates radio waves near the system, they
must be instructed to immediately turn OFF the device. This is necessary to
ensure the proper operation of the system.
2. Do not allow fluids such as water to contact the system or peripheral devices. Electric
shock may result.
Symbols
See instructions Protective earth ground
Indicates that the instrument is IEC-60601-1 Type CF equipment. The unit displaying
this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of
protection against shock, and is suitable for use during defibrillation.
Equipotential grounding terminal
VIII
FOR YOUR NOTES
1
Contents
1 About the Product ............................................................................................................ 1-1
1.1 Introduction ..................................................................................................................... 1-1
1.2 Application ...................................................................................................................... 1-1
1.2.1 General ............................................................................................................... 1-1
1.2.2 Usage .................................................................................................................. 1-2
2 Principles........................................................................................................................... 2-1
2.1 General ............................................................................................................................ 2-1
2.1.1 Parameter Measurement ..................................................................................... 2-2
2.1.2 Main Control Part ............................................................................................... 2-2
2.1.3 Man-Machine Interface ...................................................................................... 2-2
2.1.4 Power Supply ..................................................................................................... 2-3
2.1.5 Other Auxiliary Functions .................................................................................. 2-3
2.2 Hardware Description ..................................................................................................... 2-3
2.2.1 Main Board......................................................................................................... 2-4
2.2.2 ECG/RESP/TEMP Module ................................................................................ 2-6
2.2.3 IBP Module ........................................................................................................ 2-9
2.2.4 SpO
2
Module .....................................................................................................2-11
2.2.5 NIBP Module ................................................................................................... 2-13
2.2.6 Recorder Module .............................................................................................. 2-15
2.2.7 Button Panel ..................................................................................................... 2-16
2.2.8 Power PCB ....................................................................................................... 2-17
2.3 Software Description ..................................................................................................... 2-19
2.3.1 General ............................................................................................................. 2-19
2.3.2 System Task...................................................................................................... 2-20
2.3.3 System Function ............................................................................................... 2-21
2.4 System Parameter .......................................................................................................... 2-22
2.4.1 General ............................................................................................................. 2-22
2.4.2 E
CG/RESP ....................................................................................................... 2-23
2.4.3 NIBP ................................................................................................................. 2-24
2.4.4 SpO2 ................................................................................................................. 2-25
2.4.5 TEMP ............................................................................................................... 2-25
2.4.6 IBP ................................................................................................................... 2-26
2.4.7 CO2 .................................................................................................................. 2-26
3 Product Specification ....................................................................................................... 3-1
3.1 Safety Classifications ...................................................................................................... 3-1
2
3.2 Environmental Specifications ......................................................................................... 3-1
3.3 Power Source Specifications ........................................................................................... 3-2
3.4 Hardware Specifications ................................................................................................. 3-3
3.5 Wireless network ............................................................................................................. 3-4
3.6 Data Storage .................................................................................................................... 3-4
3.7 Signal Output Specifications ........................................................................................... 3-4
3.8 ECG Specifications ......................................................................................................... 3-5
3.9 RESP Specifications .......................................................................................................3-11
3.10 SpO
2
Specifications ..................................................................................................... 3-12
3.11 NIBP Specifications .................................................................................................... 3-14
3.12 TEMP Specifications ................................................................................................... 3-15
3.13 IBP Specifications ....................................................................................................... 3-15
3.14 CO
2
Specifications ...................................................................................................... 3-16
4 Disassembling/Assembling & Troubleshooting.............................................................. 4-1
4.1 DPM4 Disassembling/Assembling ................................................................................. 4-1
4.1.1 Exploded View of DPM4 ................................................................................... 4-1
4.1.2 DPM4 Front Bezel Assembly ............................................................................. 4-2
4.1.3 DPM4 Back Housing Assembly (Lithium Battery)............................................ 4-4
4.1.4 Screen Assembly ................................................................................................ 4-5
4.1.5 Battery Connector Assembly .............................................................................. 4-6
4.1.6 Parameter Connector Assembly ......................................................................... 4-7
4.1.7 CF Card Assembly ............................................................................................. 4-8
4.2 Troubleshooting .............................................................................................................. 4-9
4.2.1 Black Screen, Startup Failure ............................................................................. 4-9
4.2.2 White Screen & Other Abnormal Screen ......................................................... 4-10
4.2.3 Encoder Faults .................................................................................................. 4-10
4.2.4 No Audio Alarm ............................................................................................... 4-10
4.2.5 Printing Failure................................................................................................. 4-10
4.2.6
Abnormal Paper Drive ...................................................................................... 4-10
5 Test and Material List ...................................................................................................... 5-1
5.1 Test Procedure ................................................................................................................. 5-1
5.1.1 Connection and Checking .................................................................................. 5-1
5.1.2 Functions of Buttons .......................................................................................... 5-1
5.1.3 ECG/RESP ......................................................................................................... 5-1
5.1.4 Temperature ........................................................................................................ 5-2
5.1.5 NIBP ................................................................................................................... 5-2
5.1.6 SpO2 ................................................................................................................... 5-3
5.1.7 IBP ..................................................................................................................... 5-3
5.1.8 CO2 .................................................................................................................... 5-4
3
5.1.9 Watertrap ............................................................................................................ 5-4
5.1.10 Recorder ........................................................................................................... 5-5
5.1.11 Power Supply ................................................................................................... 5-5
5.1.12 Clock ................................................................................................................ 5-5
5.1.13 System Test ...................................................................................................... 5-5
5.2 NIBP Calibration ............................................................................................................. 5-6
5.3 IBP Calibration ................................................................................................................ 5-7
5.3.1 IBP Transducer Zero .......................................................................................... 5-7
5.4 DPM4 Material List .......................................................................................................5-11
6 Maintenance and Cleaning .............................................................................................. 6-1
6.1 Maintenance .................................................................................................................... 6-1
6.1.1 Checking Before Using ...................................................................................... 6-1
6.1.2 Regular Checking ............................................................................................... 6-1
6.2 Cleaning .......................................................................................................................... 6-2
6.3 Cleaning Reagent ............................................................................................................ 6-2
6.4 Disinfection ..................................................................................................................... 6-2
4
FOR YOUR NOTES
1-1
1 About the Product
1.1 Introduction
The DPM4 Patient Monitor, a portable and accessible patient monitor, which applies to adults,
pediatric and neonates, is supplied by rechargeable battery or external AC power. You can select
different configurations as required. Besides, the DPM4 can be connected with the central
monitoring system whereby a monitoring network will be formed. Parameters that the DPM4 can
monitor include: ECG, RESP, SpO
2
, NIBP, 2-channel TEMP, 2-channel IBP, and CO
2
. It is a
compact and lightweight patient monitor. Its color TFT LCD is able to show patient parameters
and waveforms clearly. The compact control panel and knob control, and the easy-to-use menu
system enable you to freeze, record, or perform other operations conveniently.
The DPM4 Patient Monitor measures patient’s ECG, NIBP, SpO
2
, TEMP, RESP, IBP, and CO
2
physiological signals through the ECG electrode, SpO
2
sensor, cuff, temperature sensor and
pressure transducer. During the measurement, the patient monitor does not get energy or any
substance from the human body, and does not release any substance to the human body. However,
it releases sine wave signals to the patient when measuring the respiration rate. The patient
monitor converts the measured physiological signals to the digital signals, waveforms and values,
and then displays them on the screen. You can control the patient monitor through the control
panel. For example, you can set different alarm limits for different patients. Thus, when the
patient monitor detects any physiological parameter exceeding the preset alarm limit, it will
enable the audio and visual alarm.
1.2 Application
1.2.1 General
In the treatment processes, it is necessary to monitor important physiological information of
patients. Therefore, the patient monitor has been playing an outstanding role among medical
devices. The development of technology does not only help medical staff get the important
physiological information, but also simplifies the procedures and makes it more effective. For
patients in hospital, the basic and important physiological information is required, including ECG,
SpO2, RESP, IBP, CO2, TEMP, etc. In recent years, the development of science and technology
helping measure and get important physiological information of patients has made the patient
monitor more comprehensive in performance and better in quality. Today, multi-parameter
patient monitors are widely used.
1-2
1.2.2 Usage
DPM4 converts physiological signals to digital signals, processes them and displays them on the
screen. You can set the alarm limit as required. When the monitored parameter exceeds the preset
alarm limit, the patient monitor will start the alarm function. In addition, you can control the
patient monitor through the control panel. The DPM4 patient monitor should be run under the
control of clinical staff.
DPM4 patient monitor has the following functions:
ECG Heart Rate (HR)
2-channel ECG waveform
Arrhythmia analysis and S-T analysis (optional)
RESP Respiration Rate (RR)
Respiration waveform
SpO
2
Pulse Oxygen Saturation (SpO
2
), Pulse Rate (PR)
SpO
2
Plethysmogram
NIBP Systolic pressure (NS), diastolic pressure (ND), mean pressure
(NM)
TEMP T1, T2, TD
IBP CH1: SYS, DIA
CH2: SYS, DIA
IBP waveform
CO
2
End-tidal carbon dioxide (EtCO
2
)
Inspired minimum CO
2
(InsCO
2
)
Airway Respiration Rate (AwRR)
The DPM4 provides the functions of audio/visual alarm, trend graphic storage and output, NIBP
measurement, alarm event identification, large font screen, defibrillator synchronization,
oxyCRG recall, drug calculation, etc.
2-1
2 Principles
2.1 General
The intended use of the DPM4 patient monitor is to monitor a fixed set of parameters including
ECG, RESP, SpO2, NIBP, TEMP, IBP, and CO2 (IBP and CO2 are optional). It consists of the
following functional parts:
Parameter measurement;
Main control part;
Man-machine interface;
Power supply;
Other auxiliary functions;
These functional units are respectively detailed below.
Figure 2-1 Structure of the DPM4
2-2
2.1.1 Parameter Measurement
The parameter measurement and monitoring are the core functions of the patient monitor. The
parameter measurement part of the DPM4 patient monitor consists of the measurement probe,
parameter input socket assembly, NIBP assembly and the main control board.
This part converts the physiological signals to electrical signals, processes those signals and
conducts the calculation by the preset program or command delivered from the main control
board, and then sends the values, waveforms and alarm information (which will be displayed by
using the man-machine interface) to the main control board.
2.1.2 Main Control Part
In the DPM4 patient monitor, the main control part refers to the main control part of the main
control board. It drives the man-machine interface, manages the parameter measurement and
provides users with other special functions, such as storage, recall of waveforms and data. (See
Figure 2-1)
2.1.3 Man-Machine Interface
The man-machine interface of the DPM4 patient monitor includes the TFT display, recorder,
speaker, indicator, buttons and control knob.
The TFT display is the main output interface. It, with the high resolution, provides users with
abundant real-time and history data and waveforms as well as various information and alarm
information.
The recorder is a subsidiary of the display, which is used for the user to print data.
The speaker provides the auditory alarm function.
The indicator provides additional information about the power supply, batteries, alarms and so
on.
The buttons and control knob are the input interface, which are used for the user to input the
information and commands to the patient monitor.
2-3
2.1.4 Power Supply
The power supply part is an important part of the patient monitor. It includes the main power
PCB, backlight board, batteries and fan.
The main power PCB converts the external AC current to the 5V DC current, which are supplied
for the whole system. For the TFT display, there is a special requirement on the power supply, so
a backlight board is used. The batteries supply power for the system for a short time when there
is no external AC current. The fan is used for the heat sink of the system.
2.1.5 Other Auxiliary Functions
The DPM4 patient monitor also provides the network upgrade function for the service engineers
to upgrade the system software without disassembling the enclosure.
2.2 Hardware Description
The structure of the DPM4 patient monitor is shown in the following figure.
Figure 2-2 Functional structure of the DPM4
2-4
The DPM4 PCB connection is shown in the following figure.
Figure 2-3 PCB connection
Basic functions and working principles of modules are described in the following sections.
2.2.1 Main Board
2.2.1.1 General
The main board is the heart of the patient monitor. It implements a series of tasks, including the
system control, system scheduling, system management, data processing, file management,
display processing, printing management, data storage, system diagnosis and alarm.
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Mindray DPM 4 User manual

Category
Blood pressure units
Type
User manual

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